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Individual

GREGORY LOREN JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
982185 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2185
(402) 559-5380
(402) 559-5137
Mailing address
982185 NEBRASKA MEDICAL CTR, OMAHA, NE 68198-2185
(402) 559-5380
(402) 559-5137

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
7348
NE

Other

Enumeration date
06/26/2014
Last updated
06/26/2014
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